Good news for guys looking for a health boost: You may not have to rely on strenuous exercise (that you probably weren’t going to do anyway). Bad news: It might involve soaking in a little more culture than a ball game and a six-pack. Men who attend the ballet or…
Continue reading …A federal judge declared today that Jared Lee Loughner is mentally incompetent to stand trial in the shooting of Gabby Giffords, reports the Arizona Daily Star . Doctors testified that he is schizophrenic and would not be able to understand the proceedings. The ruling came after Loughner was removed from the…
Continue reading …Rahm Emanuel took the stand for the defense in Rod Blagojevich’s trial today, but he didn’t stay there long, offering some mono-syllabic answers to a few simple questions in an exchange that lasted just three minutes, the Chicago Tribune reports. Things kicked off with some pleasantries: Blagojevich’s lawyer asked Emanuel…
Continue reading …Mahmoud Ahmadinejad will not attend an OPEC summit next month, noteworthy only because it’s being read as a signal that he’s losing his power struggle with the nation’s supreme leader, Ayatollah Khomeini, reports the New York Times . Ahmadinejad had announced earlier this month that he would go to the OPEC…
Continue reading …Big changes could be afoot in the way Americans pay for stuff. Bank of America, JPMorgan Chase, and Wells Fargo are introducing a new service that will let customers easily transfer money from their checking account to someone else’s, the Wall Street Journal reports. The banks are hoping the service…
Continue reading …Care Quality Commission says some NHS trusts do not provide dignity and nutrition for some senior citizen patients The NHS regulator today criticises the service for failing some elderly patients by giving them what the health secretary, Andrew Lansley, called “appalling levels of care” in hospital. Inspection reports compiled by the Care Quality Commission (CQC) take the health service to task for not respecting the privacy of some senior citizens receiving treatment or ensuring they eat properly. The reports reveal that three out of 12 hospitals in England where standards of dignity and nutrition for older patients were assessed in spot checks were not meeting the basic standards which they are legally obliged to deliver. The three trusts were Worcestershire Acute Hospitals NHS trust, the Ipswich Hospital NHS trust and the Royal Free Hampstead NHS trust in north London. CQC inspectors had less serious concerns about three other trusts, but found the other six were performing as they should. “While the reports document many examples of people being treated with respect and given personalised, attentive care, some tell a bleak story of people not being helped to eat and drink, with their care needs not assessed and their dignity not respected”, said the NHS watchdog for England. It found examples of: • Patients not being helped to eat meals, which meant some consumed no food. • Staff not assessing or monitoring patients’ nutritional needs, for example by not conducting regular checks of their weight or not identifying those who were malnourished. • People having too little to drink because fluids were left out of their reach or they received no fluids for a long time. One clinician had to prescribe water to a patient to ensure they got enough to drink. • Staff not treating patients respectfully, and patients being talked to in a condescending or dismissive way. • Staff not involving patients in their own care, for instance by not explaining treatment to them in advance or not seeking their consent. The CQC’s findings come after the Patients Association exposed appalling care received by some older patients and the charity Age UK’s Hungry to be Heard campaign, which revealed major weaknesses in NHS feeding practices, such as elderly patients becoming or remaining malnourished while in hospital. At the Royal Free Hospital, for example, inspectors found that staff did not always respond to patients pressing their bells – on one occasion when the person was at risk of falling our of bed – and heard complaints from patients that they were rarely asked if they had enough to drink. “The inspection teams have seen some exemplary care, but some hospitals are not even getting the basics right. That is unacceptable,” said Lansley. The NHS Confederation, which represents hospitals, said the failings identified by the CQC were “simply unacceptable”. “We in the NHS cannot tolerate the failure to meet minimum standards in any way, shape or form,” said Sir Keith Pearson, its chairman. Staff do not always honour the pledge on compassion in the NHS Constitution to “respond with humanity and kindness to each person’s pain, distress, anxiety or need”, he added. Dr Peter Carter, general secretary of the Royal College of Nursing, said: “Some of the concerns raised in this report are truly shocking and we are clear that there is simply no excuse for failing to treat patients with the respect and dignity they deserve.” All staff should be able to meet every patient’s and their family’s physical, social and emotional needs, he added. But Carter also warned that with ongoing job losses across the NHS, pressure on nurses’ time and too few staff to ensure patient safety, “frontline care is inevitably going to be affected.” “It is extremely worrying that a quarter of the first 12 hospitals to be spot-checked were non-compliant in both areas”, said Michelle Mitchell of Age UK. “It is also wholly unacceptable that some of the anecdotal evidence in the reports reveal distressing stories of medical staff having to prescribe water to ensure patients are hydrated and of some patients receiving treatment with little or no communication as to what is happening and why.” Although hospital staff recognise the importance of such care, more needs to be done to translate their words into action on wards, she added. Katherine Murphy, director of the Patients Association, called for the introduction of independent matrons – not employed by the NHS organisations where they worked – who could lobby on behalf of patients for changes to be made if they came across examples of sub-standard care. NHS Health Older people Health policy Public services policy Denis Campbell guardian.co.uk
Continue reading …Syrian opposition groups say more than 25 children and teenagers have been killed in the government’s crackdown in Syria—some of them after “severe torture.” The Local Coordination Committees, a group that helps to organize protests, put out a statement identifying kids aged 5 to 17 who’d been found dead….
Continue reading …Circumcision haters are out in force these days, with a vote coming later this year in San Francisco on whether to ban the practice entirely . But opponents overlook the health benefits that circumcision brings, specifically how it cuts down on the transmission of HIV, writes Diane Cole in the Wall…
Continue reading …The man accused of gunning down Gabrielle Giffords and killing six is mentally incompetent to stand trial, a judge has ruled The man accused of gunning down US congresswoman Gabrielle Giffords and killing six is mentally incompetent to stand trial, a judge has ruled after US marshals dragged him out of the courtroom because of an angry outburst. As survivors of the deadly January attack looked on, Jared Lee Loughner lowered his head, raised it, and said what sounded like “Thank you for the freak show. She died in front of me.” His words were loud but mumbled, and it wasn’t clear who he was talking about. He wore a khaki prison suit and sported bushy, reddish sideburns. US District Judge Larry Burns’ decision means the 21-year-old will now be sent to a federal facility for up to four months in a bid to restore his competency. The ruling came after Loughner spent five weeks in March and April at a federal facility in Missouri, where he was examined by two court-appointed mental health professionals. The two were asked to determine whether Loughner understands the consequences of the case against him. The competency reports by psychologist Christina Pietz and psychiatrist Matthew Carroll haven’t been publicly released. Loughner has pleaded not guilty to 49 federal charges stemming from the 8 January shooting at a meet-and-greet event, that wounded Giffords and 12 others and killed six people, including a 9-year-old girl and a federal judge. After the outburst, two marshals standing behind Loughner’s chair grabbed him by each arm and led him from the courtroom. Loughner’s father, sitting a few rows behind his son, lowered his eyes and huddled with two women seated next to him. After a short recess, the marshals told the judge that Loughner had calmed down. They then brought Loughner back into the courtroom, and the judge told him he had a right to watch the hearing. Burns asked Loughner if he wanted to stay in the courtroom and behave, or view the proceeding on a TV screen in another room. “I want to watch the TV screen,” Loughner responded. At least two survivors of the Tucson attack looked on: Giffords’s aide Pam Simon, who was shot in the chest and right wrist; and retired Army Colonel Bill Badger, who is credited with helping subdue Loughner after a bullet grazed the back of Badger’s head. Prosecutors had asked for the mental examination, citing a YouTube video in which they believe a hooded Loughner wore garbage bags and burned an American flag. The judge gave the two mental health professionals access to Loughner’s health records from his pediatrician, a behavioral health hospital that treated him for extreme intoxication in May 2006, and an urgent care centre where he was treated in 2004 for unknown reasons. Loughner will be sent to a federal facility for a maximum of four months to see if his competency can be restored. If he’s later determined to be competent, the case against him will resume. If he isn’t deemed competent at the end of his treatment, his stay at the facility can be extended. There are no limits on the number of times such extensions can be granted. If doctors conclude they can’t restore his mental competency, the judge would have to decide whether the suspect can be restored. If the judge decides there’s no likelihood of restoration, the judge can dismiss the charges against him. In that case, state and federal authorities can petition to have him committed and could seek to extend that commitment repeatedly, said Heather Williams, a federal public defender in Tucson who isn’t involved in the Loughner case. The doctors who examined Loughner were ordered not to focus on his sanity at the time of the shooting. Loughner’s lawyers haven’t said whether they intend to present an insanity defence. But they noted in court filings that his mental condition will probably be a central issue at trial and described him as a “gravely mentally ill man.” Jared Lee Loughner Gabrielle Giffords United States US gun control Gun crime guardian.co.uk
Continue reading …The president redefines the role of the US and its allies with a stirring speech to both houses of parliament in Westminster Hall Barack Obama has put America and Europe unambiguously on the side of those fighting for freedom across the Middle East, saying the west can remain “the catalysts for global action”, ending a decade of war, terrorism and terrible recession. “The time for our leadership is now,” he asserted, challenging the notion that the west was in inexorable decline. In the centrepiece of a day of extraordinary theatre and pomp, Obama, the first American president to address both houses of parliament in Westminster Hall, sought to redefine the role of the US and its allies. He developed his foreign policy doctrine by arguing that the Arab spring showed the west need no longer fear that its interests and ideals were in conflict. Accepting the west had to overcome mistrust in the region, he said western leaders had come to recognise “repression only offers the false promises of stability, that societies are more successful when their citizens are free and that democracies are the closest allies we have”. But he sought to distance himself from George W Bush’s military simplicities in Iraq, insisting: “We will proceed with humility and the knowledge that we cannot dictate outcomes abroad. Ultimately freedom must be won by people themselves.” Obama’s speech came hours after a joint news conference with David Cameron in which they renewed their calls for Muammar Gaddafi to stand aside. But there were differences in tone, with Cameron saying they should be “turning up the heat” on the Libyan leader, while Obama called for patience and cautioned against artificial timelines. In addition, the US president did not explicitly call for regime change, saying “at minimum” the requirement was “to make sure Gaddafi does not have the capacity to send in a bunch of thugs to murder innocent civilians”. He also sought to dispel as a false perception the suggestion that the US military restraint was preventing a quick fix in Libya, denying that “there are a whole bunch of secret super-effective air assets in a warehouse somewhere that could just be pulled out and that would immediately solve the situation in Libya”. But in the more lofty context of his speech in Westminster Hall, Obama portrayed Libya as a test case of the west’s responsibility to stand up for universal rights. He said: “It would have been easy to argue that nation’s sovereignty is more important than the slaughter of citizens within its borders. “While we cannot stop every injustice, there are circumstances that cut through our caution – when a leader is threatening to massacre his people and the international community is calling for action. That is why we stopped a massacre in Libya. And we will not relent until the people of Libya are protected, and the shadow of tyranny is lifted.” From the beaches of Normandy to the Balkans and to Benghazi, he found a linear path through history, arguing that Britain and America had consistently rejected the notion that “people in certain parts of the world don’t want to be free or need to have democracy imposed on them”. But he warned that the struggle in the Middle East might be long, saying it would be years before these revolutions reached their conclusions. Paraphrasing the abolitionist Frederick Douglass, he reminded his audience: “Power rarely gives up without a fight, particularly in places where there are divisions of tribe and sect. We also know that populism can take dangerous turns – from the extremism of those who would use democracy to deny minority rights, to the nationalism that left so many scars on this continent in the 20th century.” Obama tempered some of his idealism by admitting that America had a strategic self-interest in the Middle East. “We must squarely acknowledge that we have enduring interests in the region: to fight terror with partners who may not always be perfect, and to protect against disruptions in the world’s energy supply.” The speech to 500 parliamentarians – including Cameron and three former prime ministers, Tony Blair, Gordon Brown and John Major – reached its climax when the US president argued that both Britain and America, unusually, defined their nationhood “not through race or ethnicity, but by a belief in the rights of individuals and the rule of law”. Despite the tensions caused by waves of immigration, he said: “The example of our two nations says it is possible for people to be united by their ideals, instead of divided by their differences.” In Obama’s most optimistic passage, and the only one that drew applause in the stately surroundings, he argued that both nations believed “it is possible for hearts to change and old hatreds to pass, that it is possible for the sons and daughters of former colonies to sit here as members of this great parliament, and for the grandson of a Kenyan who served as a cook in the British army to stand before you as president of the United States”. Away from the speechmaking, Cameron and Obama met for 90 minutes in Downing Street first alone and then alongside the deputy prime minister, Nick Clegg, the foreign secretary, William Hague, and the chancellor, George Osborne. The talks centred on Afghanistan, North Africa, Israel and the world economy. The prime minister will have been delighted with the pictures of the two men sharing table tennis and a barbecue, and Obama’s assertion that he had come to trust Cameron’s’s judgment through two dozen phone calls. He will have been disappointed, though, that the president did not take up the chance to endorse the coalition’s speedy and deep deficit reduction strategy. Instead he emphasised the differences between the two countries, saying: “Obviously the nature and role of the public sector in the United Kingdom is different than it has been in the United States. The pressures that each country are under from world capital markets are different, the nature of the debt and deficits are different and, as a consequence, the sequencing or pace may end up being different.” But Cameron sought to emphasise the similarities, saying: “When I look across now and see what the US and the UK are contemplating for the future, it is a relatively similar programme in terms of trying to get on top of our deficit and make sure that debt is falling as a share of GDP.” Obama also made clear that he did not think the UN should prematurely recognise Palestine as an independent state. He said: “The United Nations can achieve a lot of useful work but what the UN is not going to be able to do is to deliver a Palestinian state, so I strongly believe that for the Palestinians to take a UN route rather than sitting down and talking with Israel is a mistake.” He also seemed to tack to the Israelis, following his speech calling for a settlement based on 1967 borders, by arguing that it would be difficult currently for Israel to talk to the Palestinians. He said: “Hamas has not renounced violence. Hamas is an organisation that has thus far rejected the recognition of Israel as a legitimate state. It is very difficult for Israelis to sit across the table and negotiate with a party that is denying your right to exist, and has not renounced the right to send missiles and rockets into your territory.” Barack Obama Arab and Middle East unrest Patrick Wintour guardian.co.uk
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